当前位置： SCI文献检索 > MEDICAL CARE期刊下所有文献 > Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults.

Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults.

Abstract：

BACKGROUND:Barriers to colorectal cancer (CRC) screening are not well understood. OBJECTIVES:We sought to compare barriers to CRC screening reported by primary care physicians (PCPs) and by average-risk adults, and to examine characteristics of average-risk adults who identified lack of provider recommendation as a major barrier to CRC screening. RESEARCH DESIGN:This was a comparative study using data from the 1999-2000 Survey of Colorectal Cancer Screening Practices and the 2000 National Health Interview Survey (NHIS). SUBJECTS:We recruited nationally representative samples of PCPs (n= 1235) from the SCCSP and average-risk adults (n = 6497) from the NHIS. MEASURES:We measured barriers to CRC screening identified by PCPs and average-risk adults who were not current with screening. RESULTS:Both PCPs and average-risk adults identified lack of patient awareness and physician recommendation as key barriers to obtaining CRC screening. PCPs also frequently cited patient embarrassment/anxiety about testing and test cost/lack of insurance coverage, but few adults identified these as major barriers. Of adults not current with testing, those who had visited a doctor in the past year or had health insurance were more likely to report lack of physician recommendation as the main reason they were not up-to-date compared with their counterparts with no doctor visit or health insurance. Only 10% of adults not current with testing and who had a doctor visit in the past year reported receiving a screening recommendation. CONCLUSIONS:A need exists for continued efforts to educate the public about CRC and the important role of screening in preventing this disease. Practice-based strategies to systematically prompt health care providers to discuss CRC screening with eligible patients also are required.

journal_name

Med Care

journal_title

Medical care

authors

Klabunde CN,Vernon SW,Nadel MR,Breen N,Seeff LC,Brown ML

doi

10.1097/01.mlr.0000173599.67470.ba

keywords:

subject

Has Abstract

pub_date

2005-09-01 00:00:00

pages

939-44

issue

eissn

0025-7079

issn

1537-1948

pii

00005650-200509000-00013

journal_volume

pub_type

杂志文章

在线工具

Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults.